TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack

Item Number: TOP50135RV

Retail Price: ~~39.40~~
Our Price: $24.67 / PK (savings 14.73)

Quantity in Stock: 225

CMS, NUCC and OMB approved format
Printed front and back
Convenient scanning
Compatible with laser printers

Free shipping on qualifying orders over $75

Additional Information

Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.

General Information

Manufacturer: TOPS Products
Manufacturer Part Number: 50135RV
Manufacturer Website Address: https://www.tops-products.com
Brand Name: TOPS
Product Name: CMS-15000 Health Insurance Claim Forms
Marketing Information:

Packaged Quantity: 250 / Pack
Product Type: Health Insurance Form

Product Information

Basis Weight: 20 lb
Sheet Size: 11" Width x 8.50" Length
Sheet Color: White
Print Color: Red
Print Technology: Laser

Miscellaneous

Certifications & Standards:

CMS
NUCC
OMB

Recycled: No
Assembly Required: No
Country of Origin: United States

Assembly Required: No

Prefix & Stock Number: TOP 50135RV

About Haskell New York Inc.

Through our MAS GSA® 75 Schedule, Haskell is authorized to sell to government agencies such as Social Security, the Dept. of the Interior and even the Department of Defense. Haskell is also listed on FedMall and supports the AbilityOne® program. AbilityOne® provides employment opportunities to people with major disabilities including the blind, wounded veterans and people living with PTSD.

For three generations, the small family owned business has survived the Great Depression, world war, the emergence of the super-stores and transition to an online world by providing personal service and great products at reasonable prices. Haskell is also a member of the ISG™ (Independent Suppliers Group) and can quote specialty items like apparel and branded promotional items. Call for competitive quotes. Installation services available upon request.

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